Phenylpiracetam

Phenylpiracetam (fonturacetam) is piracetam with a phenyl ring added, developed in the Soviet Union and sold in Russia as Phenotropil for asthenia and cerebrovascular disease.

Human trialsNon-peptide compound reference

Also known as: Fonturacetam, Phenotropil, Carphedon, 4-Phenylpiracetam, Carphedone, Karfedon, 2-Oxo-4-phenyl-1-pyrrolidineacetamide, UNII 99QW5JU66Y

(how we review)

Dosing & scaling, explained

Amounts reported for Phenylpiracetam are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.

No source-supported amount ladder is shown

Enter a target amount only from your own reviewed source. The calculator can convert it into concentration, volume and device markings, but it will not infer an amount from product availability or another compound.

Only mcg or mg amounts are retained. The calculator derives mL, syringe units or pen clicks from the current vial strength, water volume and device.

No independently verified schedule

Clinical context

Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.

Storage, handling and interpretation

Product identity

Verify the exact compound, formulation and amount against the product label or certificate before calculation.

Storage & handling

Follow the product label, certificate and validated laboratory SOP; no universal storage assumption is applied here.

Prepared solutions

Label concentration and preparation date, use sterile technique where applicable, and follow a validated stability protocol.

Reported protocols for Phenylpiracetam

What published studies and recent community write-ups report about amounts, timing and course length. 4 clinical, 1 preclinical and 3 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical4 rows
Meta-analysis of Russian asthenia studies549 patients with asthenia (mean age 45.9) across 11 studies200 mg per dayDailyOralOne month, assessed on day 30None describedZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2025
Every included study used the same 200 mg a day, and the pooled MFI-20 asthenia score fell by 16.3 points after a month, with side effects in 5.5 percent of patients that resolved within a week of continued treatment. The analysis was published in a Russian journal about the branded product, and the underlying studies were mostly open and small, so the effect size is uncertain.
Stroke rehabilitation programme400 patients with ischaemic stroke, 200 of whom received phenotropil400 mg per dayDaily during each courseOral3 courses over the year after strokeBreaks between the three courses, length not stated in the abstractZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2010
Recovery of neurological function and daily living scores was reported as significantly better in the treated group. The abstract does not describe randomisation or blinding, and the dose is twice the 200 mg a day used in the asthenia studies.
Observational programme in chronic brain ischaemia (TRIUMPH)1170 primary-care patients aged 45-65 with chronic brain ischaemia and asthenic syndrome100 mgDailyOral2-3 monthsNone describedZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2014
Asthenia scores on the MFI-20 fell significantly by the end of the first month and kept falling, with a more than two-fold reduction at 3 months and faster responses in younger patients. This was a non-interventional observational programme without a control group, so it describes the course of treated patients rather than a treatment effect.
Add-on trial in focal epilepsy90 adults with symptomatic locally induced epilepsy on standard antiepileptic drugs100 or 200 mgDailyOralNot stated in the abstractNone describedZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2014
In this double-blind, placebo-controlled randomised trial, phenotropil reduced seizure frequency and improved cognitive scores in patients without epileptiform EEG abnormalities, while leaving the negative effects of standard therapy unchanged in 40 percent of patients. It is one of the few blinded trials of the compound.
Preclinical1 row
Enantiomer comparison in miceMice in open-field, forced swim and passive avoidance testsR-enantiomer 1 mg/kg for memory; 10 and 50 mg/kg for locomotion; 50-100 mg/kg for antidepressant effectsSingle administrationSystemicAcuteNot applicableBasic and Clinical Pharmacology and Toxicology (PubMed)2011
Only the R-enantiomer improved passive-avoidance memory, while both enantiomers raised locomotor activity and reduced immobility in the forced swim test, despite reaching similar brain concentrations. Since market product is the racemate, half of each milligram is the S-form, which had no memory effect in this study.
Community-reported3 rows
Community dosing and tolerance pattern100 mg once or twice daily for cognition; 200 mg as a single dose 1-2 hours before a demanding taskOnce or twice daily, morning or morning and early afternoonOral capsule or tabletIntermittent use, 2-3 times a week or short 1-2 week cyclesRapid tolerance reported by day 5-7 of daily use, so breaks are built inCommunity resource2026
This 2026 compound page reports that the stimulant and motivational effects fade within a week of daily dosing, lists insomnia, irritability and headache as common complaints, and warns tested athletes that the compound is a WADA-prohibited stimulant. The tolerance pattern comes from user reports; the Russian trials used fixed daily doses for a month and did not report on it.

How a course is commonly described

  1. Days 1-7Community-reported

    Community pages describe 100 mg in the morning, or 200 mg before a demanding task, with effects felt within an hour and the stimulant lift fading by day 5-7 of daily use.

  2. Weeks 2-3 and breakCommunity-reported

    Guides either switch to 2-3 uses a week or run 2-3 weeks on followed by 1-2 weeks off. No study has examined tolerance or any cycling schedule.

  3. Clinical comparisonClinical

    The Russian studies used a fixed 200 mg a day for 30 days in asthenia, 100 mg a day for 2-3 months in chronic brain ischaemia and 400 mg a day in repeated courses after stroke, all in patients and without reporting tolerance.

  • Phenylpiracetam is a prescription medicine in Russia with a largely Russian-language, open-label evidence base at 100-400 mg a day in patients. Community totals of up to 300 mg a day, taken intermittently, are the editors' summary of user habit rather than anything tested, and the only pooled human figure is 200 mg a day for a month.
  • It is prohibited in sport as a stimulant and was the first nootropic banned, in 1998. Market product is a racemate, and the vendor named on this page sells the hydrazide derivative rather than phenylpiracetam itself, so identity matters as much as dose.
  • A 2021 analysis of US supplements labelled as containing phenylpiracetam or other racetams found several declared drugs absent and undeclared drugs present. It is an oral small molecule; there is no vial or reconstitution, and the rows above record what sources report, not advice.
Sources for this section (10)
  1. Efficacy and safety of fonturacetam in asthenia: a systematic review and meta-analysisZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2025Clinical
  2. Efficacy of phenotropil in the rehabilitation of stroke patientsZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2010Clinical
  3. Treatment of asthenic syndrome in patients with chronic brain ischemia: results of the non-interventional observational program TRIUMPHZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2014Clinical
  4. The efficacy of add-on treatment with phenotropil in adult patients with locally-induced epilepsyZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2014Clinical
  5. Unauthorized ingredients in "nootropic" dietary supplements: A review of the history, pharmacology, prevalence, international regulations, and potential as doping agentsDrug Testing and Analysis (PubMed)2023Clinical
  6. Five Unapproved Drugs Found in Cognitive Enhancement SupplementsNeurology: Clinical Practice (PubMed)2021Clinical
  7. Investigation into stereoselective pharmacological activity of phenotropilBasic and Clinical Pharmacology and Toxicology (PubMed)2011Preclinical

Plus 3 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.

Overview

Phenylpiracetam (fonturacetam) is piracetam with a phenyl ring added, developed in the Soviet Union and sold in Russia as Phenotropil for asthenia and cerebrovascular disease. Its human evidence is almost entirely Russian-language: a 2025 meta-analysis of the newer brand Actitropil pooled 11 studies of 549 patients given 200 mg a day for a month, and larger stroke and chronic ischaemia programmes used 100-400 mg a day. It was the first nootropic banned in sport, prohibited by anti-doping authorities as a stimulant since 1998, and it is not approved in the United States or the European Union.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Cognitive & neural

    Neuroplasticity, cognition, stress and sleep models.

  • 2

    Meta-analysis of Russian asthenia studies

    Every included study used the same 200 mg a day, and the pooled MFI-20 asthenia score fell by 16.3 points after a month, with side effects in 5.5 percent of patients that resolved within a week of continued treatment..

  • 3

    Stroke rehabilitation programme

    Recovery of neurological function and daily living scores was reported as significantly better in the treated group. The abstract does not describe randomisation or blinding, and the dose is twice the 200 mg a day used.

  • 4

    Observational programme in chronic brain ischaemia (TRIUMPH)

    Asthenia scores on the MFI-20 fell significantly by the end of the first month and kept falling, with a more than two-fold reduction at 3 months and faster responses in younger patients. This was a non-interventional.

  • 5

    Add-on trial in focal epilepsy

    In this double-blind, placebo-controlled randomised trial, phenotropil reduced seizure frequency and improved cognitive scores in patients without epileptiform EEG abnormalities, while leaving the negative effects of.

  • 6

    Enantiomer comparison in mice

    Only the R-enantiomer improved passive-avoidance memory, while both enantiomers raised locomotor activity and reduced immobility in the forced swim test, despite reaching similar brain concentrations. Since market.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    4 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Animal

    Preclinical models

    1 protocol row describe animal, cell or toxicology work. Amounts from these rows do not translate to people.

  • Not graded

    Community-reported use

    3 rows record what blogs, vendor write-ups or forums describe for Phenylpiracetam. None has been verified against primary literature.

Chemistry identifiers

Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.

Also listed as

Fonturacetam, Phenotropil, Carphedon, 4-Phenylpiracetam, Carphedone, Karfedon, 2-Oxo-4-phenyl-1-pyrrolidineacetamide, UNII 99QW5JU66Y

InChIKey

LYONXVJRBWWGQO-UHFFFAOYSA-N

IUPAC name

2-(2-oxo-4-phenylpyrrolidin-1-yl)acetamide

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

8 curated references, each with its journal, year and study model, plus 3 community resources reported but not linked.

  1. Fonturacetam (PubChem CID 132441)PubChem, National Library of Medicine2026Not graded
  2. Efficacy and safety of fonturacetam in asthenia: a systematic review and meta-analysisZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2025Human
  3. Efficacy of phenotropil in the rehabilitation of stroke patientsZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2010Human
  4. Treatment of asthenic syndrome in patients with chronic brain ischemia: results of the non-interventional observational program TRIUMPHZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2014Human
  5. The efficacy of add-on treatment with phenotropil in adult patients with locally-induced epilepsyZhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (PubMed)2014Human
  6. Unauthorized ingredients in "nootropic" dietary supplements: A review of the history, pharmacology, prevalence, international regulations, and potential as doping agentsDrug Testing and Analysis (PubMed)2023Human
  7. Five Unapproved Drugs Found in Cognitive Enhancement SupplementsNeurology: Clinical Practice (PubMed)2021Human
  8. Investigation into stereoselective pharmacological activity of phenotropilBasic and Clinical Pharmacology and Toxicology (PubMed)2011Animal